Table 1.
Variable | Control (n = 19) | Sepsis With ARDS (n = 46) | Sepsis Without ARDS (n = 54) | p a |
---|---|---|---|---|
Age (yr), median (IQR) | 10 (3–13) | 5 (4–13) | 9 (7–16) | 0.03 |
Sex, n (%) | 0.33 | |||
Female | 10 (53) | 21 (46) | 30 (56) | |
Male | 9 (47) | 25 (54) | 24 (44) | |
Race, n (%) | 0.94 | |||
Asian | 0 (0) | 2 (4) | 3 (6) | |
Black or African American | 2 (11) | 10 (22) | 12 (22) | |
Middle Eastern/Northern African | 0 (0) | 0 (0) | 1 (2) | |
White | 15 (78) | 28 (61) | 30 (56) | |
Other | 2 (11) | 6 (13) | 8 (15) | |
Comorbidities,b n (%) | ||||
None | 4 (21) | 9 (20) | 17 (31) | 0.25 |
Cardiac | 0 (0) | 9 (20) | 7 (13) | 0.37 |
Pulmonary | 0 (0) | 10 (22) | 10 (19) | 0.69 |
Gastrointestinal | 0 (0) | 19 (41) | 12 (22) | 0.04 |
Endocrine | 0 (0) | 7 (15) | 9 (17) | 0.84 |
Renal | 0 (0) | 1 (2) | 6 (11) | 0.08 |
Rheumatologic | 0 (0) | 3 (7) | 5 (9) | 0.62 |
Immunologic | 0 (0) | 3 (7) | 1 (2) | 0.24 |
Hematologic | 0 (0) | 4 (9) | 3 (6) | 0.54 |
Oncologic | 5 (26) | 11 (24) | 9 (17) | 0.37 |
Musculoskeletal | 5 (26) | 7 (15) | 4 (7) | 0.21 |
Dermatologic | 0 (0) | 1 (2) | 2 (4) | 0.66 |
Neurologic | 8 (42) | 18 (39) | 16 (30) | 0.32 |
Immunosuppressedc | 0 (0) | 16 (35) | 19 (35) | 0.97 |
Extrapulmonary sepsis source, n (%) | 0.97 | |||
Blood | – | 18 (39) | 16 (30) | |
Gastrointestinal | – | 12 (26) | 14 (26) | |
Urinary | – | 5 (11) | 8 (15) | |
CNS | – | 2 (4) | 4 (7) | |
Skin | – | 2 (4) | 2 (4) | |
Musculoskeletal | – | 2 (4) | 1 (2) | |
Unknown | – | 5 (11) | 9 (17) | |
Most frequent bacterial pathogens,d n (%) | ||||
Escherichia coli | 4 (8) | 4 (7) | – | |
Enterobacter cloacae | – | 2 (4) | 1 (2) | |
Enterococcus faecalis | – | 0 (0) | 4 (7) | |
Klebsiella pneumoniae | – | 2 (4) | 1 (2) | |
Proteus mirabilis | – | 2 (4) | 0 (0) | |
Pseudomonas aeruginosa | – | 0 (0) | 2 (4) | |
Staphylococcus aureus (methicillin sensitive) | – | 2 (4) | 5 (9) | |
Streptococcus pneumoniae | – | 1 (2) | 3 (6) | |
Streptococcus pyogenes | – | 1 (2) | 5 (9) | |
Pediatric Risk of Mortality-III score, median (IQR) | 0 (0–3) | 15 (10–24) | 11 (5–16) | 0.005 |
ARDS = acute respiratory distress syndrome, IQR = interquartile range.
p value reflects difference between sepsis with versus without ARDS. Significance is defined as p < 0.05.
Categories are not mutually exclusive because some patients had more than one baseline comorbidity.
Immunosuppressed patients included those with immune deficiencies and those receiving immunosuppressive therapies.
Most frequently occurring bacteria cultured from primary site of infection are listed as counts (n).
Dashes indicate not applicable.